Individual provider · Type 1 NPI

Nisreen Shabbir Ezuddin, MD

Vascular & Interventional Radiology Physician · North Miami Beach, FL

NPI number 1073017174 Active

Practice location

160 NW 170th St
North Miami Beach, FL 33169-5521

Mailing address

4581 Weston Rd
Weston, FL 33331-3141

Other practice locations

  • 1201 S Grand Blvd, St. Louis, MO 63104-1016 · (314) 617-2000
  • 1611 NW 12th Ave, Miami, FL 33136-1005 · (305) 585-1280
  • 12300 Metcalf Ave, Overland Park, KS 66213-1324 · (816) 932-2549
  • 5830 NW Barry Rd, Kansas City, MO 64154-2778 · (816) 932-2549

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2025039391 (MO)
Vascular & Interventional Radiology Physician Primary 2085R0204X2025039391 (MO)
Vascular & Interventional Radiology Physician 2085R0204X0451790 (KS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X0451790 (KS)
Diagnostic Radiology Physician 2085R0202XME146753 (FL)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1073017174

Nisreen Shabbir Ezuddin, MD's National Provider Identifier is 1073017174, issued on Mar 22, 2018. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in North Miami Beach, FL. The record was last updated on Aug 13, 2026.